| NPI | 1497380091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HASSAM-SARWAR Managing Member/Dentist 518-332-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-07-16 |